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h <br /> } y - � m48o <br /> PERMIT <br /> 3. . APPLICATION USE <br /> N SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: UP- <br /> i �1FOR� <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: 1f l� r1t5HIt_--( Name: FOL M, ail <br /> Address: p 1N. S 7E i <br /> '2- Address: 161 W. elle +i L n <br /> Lo p; 1 =w P. 0 . Ba x ` -7 [ rl` `f5-z<11 <br /> Phone: r-5-74--l- Phone: Cx 0-1)331/- 63 Ef c _ L09 66 -:q07_0 <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: <br /> I� l'j3tJ6r V-}t 0 61z-( l N T � ID 6+AvS GS <br /> 2 p ocl:�,> S <br /> f- SE a <br /> Business name(DBA): <br /> EmployeesMustomers per Work Shift <br /> Shift Hours Days of the week Employees(Number) Customers per Shift Vehicle Trips per Shift <br /> Materials/Equlpment Used <br /> Describe equipment used in the project(include the number of automobiles and trucks): <br /> 2 .A e,_,Trt5 5cA-L q I P.,,&r + movLT;-,s"i•) 2I ut`1z C�A641F t 5 <br /> Describe materials produced,stored or used(all hazardous materials should be identified): <br /> VJ 10 EF ��I +fY� ��►� 7�-�t�s t3 �s'vS GAS 5 <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size I Number of Parcels Project Size Williamson Act Contract <br /> 2D�� `� r •S� S Yes No <br /> Property Address: T r 1-2- <br /> Existing <br /> ZExisting Land Uses <br /> On-Site Uses(include Ag Crops): WIN f-k­►`fr> Vel �'�6KtZ d <br /> Uses to the North: RIC.41 QOM 1-2- <br /> Uses <br /> -2-Uses to the East: VIN E A P�,A �S <br /> Uses to the South: \/l P t-M PCPIq 5 <br /> M Uses to the West: v lN� <br /> FADEVSMPlanning Application FormslUse Permit.(Revised 09-10-08) Page 2 of 9 <br /> I <br />